<!DOCTYPE html>
<html lang="zh" xmlns:th="http://www.thymeleaf.org" >
<head>
    <th:block th:include="include :: header('新增疫情风险排查')" />
</head>
<body class="white-bg">
    <div class="wrapper wrapper-content animated fadeInRight ibox-content">
        <form class="form-horizontal m" id="form-yqriskcheck-add">
            <div class="form-group">    
                <label class="col-sm-3 control-label">行业主管街道：</label>
                <div class="col-sm-8">
                    <input name="street" class="form-control" type="text">
                </div>
            </div>
            <div class="form-group">    
                <label class="col-sm-3 control-label">上报日期：</label>
                <div class="col-sm-8">
                    <input name="commitDate" class="form-control" type="text">
                </div>
            </div>
            <div class="form-group">    
                <label class="col-sm-3 control-label">紧急联系人信息：</label>
                <div class="col-sm-8">
                    <input name="emergencyContact" class="form-control" type="text">
                </div>
            </div>
            <div class="form-group">    
                <label class="col-sm-3 control-label">职工姓名：</label>
                <div class="col-sm-8">
                    <input name="sname" class="form-control" type="text">
                </div>
            </div>
            <div class="form-group">    
                <label class="col-sm-3 control-label">身份证号：</label>
                <div class="col-sm-8">
                    <input name="idNumber" class="form-control" type="text">
                </div>
            </div>
            <div class="form-group">    
                <label class="col-sm-3 control-label">手机号：</label>
                <div class="col-sm-8">
                    <input name="phone" class="form-control" type="text">
                </div>
            </div>
            <div class="form-group">    
                <label class="col-sm-3 control-label">职工返京日期：</label>
                <div class="col-sm-8">
                    <input name="returnBjDate" class="form-control" type="text">
                </div>
            </div>
            <div class="form-group">    
                <label class="col-sm-3 control-label">住址所在区县：</label>
                <div class="col-sm-8">
                    <input name="addressArea" class="form-control" type="text">
                </div>
            </div>
            <div class="form-group">    
                <label class="col-sm-3 control-label">住址所在街道：</label>
                <div class="col-sm-8">
                    <input name="addressStreet" class="form-control" type="text">
                </div>
            </div>
            <div class="form-group">    
                <label class="col-sm-3 control-label">住址所在社区：</label>
                <div class="col-sm-8">
                    <input name="addressCommunity" class="form-control" type="text">
                </div>
            </div>
            <div class="form-group">    
                <label class="col-sm-3 control-label">到访过中高风险地区名称：</label>
                <div class="col-sm-8">
                    <input name="addressDetail" class="form-control" type="text">
                </div>
            </div>
            <div class="form-group">    
                <label class="col-sm-3 control-label">是否在社区居住：</label>
                <div class="col-sm-8">
                    <input name="liveInCommunity" class="form-control" type="text">
                </div>
            </div>
            <div class="form-group">    
                <label class="col-sm-3 control-label">返京后是否已向居住社区报到：</label>
                <div class="col-sm-8">
                    <input name="reportedCommunityReturn" class="form-control" type="text">
                </div>
            </div>
            <div class="form-group">    
                <label class="col-sm-3 control-label">回京后是否已进行核酸检测：</label>
                <div class="col-sm-8">
                    <input name="acidTestsReturn" class="form-control" type="text">
                </div>
            </div>
            <div class="form-group">    
                <label class="col-sm-3 control-label">核酸检测结果：</label>
                <div class="col-sm-8">
                    <input name="acidTestsResult" class="form-control" type="text">
                </div>
            </div>
            <div class="form-group">    
                <label class="col-sm-3 control-label">备注：</label>
                <div class="col-sm-8">
                    <input name="bak" class="form-control" type="text">
                </div>
            </div>
            <div class="form-group">    
                <label class="col-sm-3 control-label">是否是通勤人员：</label>
                <div class="col-sm-8">
                    <input name="tongqinState" class="form-control" type="text">
                </div>
            </div>
            <div class="form-group">    
                <label class="col-sm-3 control-label">是否已复工：</label>
                <div class="col-sm-8">
                    <input name="fugongState" class="form-control" type="text">
                </div>
            </div>
            <div class="form-group">    
                <label class="col-sm-3 control-label">隔离类型：</label>
                <div class="col-sm-8">
                    <input name="geliState" class="form-control" type="text">
                </div>
            </div>
            <div class="form-group">    
                <label class="col-sm-3 control-label">隔离剩余天数：</label>
                <div class="col-sm-8">
                    <input name="geliLastNumber" class="form-control" type="text">
                </div>
            </div>
            <div class="form-group">    
                <label class="col-sm-3 control-label">隔离复工日期：</label>
                <div class="col-sm-8">
                    <input name="geliFugongDate" class="form-control" type="text">
                </div>
            </div>
            <div class="form-group">    
                <label class="col-sm-3 control-label">因谁隔离：</label>
                <div class="col-sm-8">
                    <input name="geliFrom" class="form-control" type="text">
                </div>
            </div>
        </form>
    </div>
    <th:block th:include="include :: footer" />
    <script th:inline="javascript">
        var prefix = ctx + "system/yqriskcheck"
        $("#form-yqriskcheck-add").validate({
            focusCleanup: true
        });

        function submitHandler() {
            if ($.validate.form()) {
                $.operate.save(prefix + "/add", $('#form-yqriskcheck-add').serialize());
            }
        }
    </script>
</body>
</html>